Individual
BAILEY KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
2250 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 977-2709
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29129
MN
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/16/2023
Last updated
10/26/2023
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